Average Medicaid Office Visit Payments in Santa Maria, CA: $37.09
Avg. Paid
$37.09
Range
$0.00 – $563.35
Total Claims
1,228,678
Providers
261
Typical Payment Range
Typical Medicaid Office Visit payments fall between $29.28 and $67.92 per claim (median: $46.55). The top 10% of payments exceed $95.29.
Based on per-provider averages across all Medicaid claims in this category.
A standard doctor's office visit for evaluation and management of medical conditions. Includes new patient visits, follow-up visits, and consultations.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Office Visit in Santa Maria, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michael J Young
4850 S Bradley Rd |
$14.96 | 12 | 12 |
|
Mary Kosko Oates
116 South Palisade Drive |
$17.74 | 12 | 12 |
|
William Somers
821 E Chapel St Ste 203 |
$49.70 | 12 | 12 |
|
Rory A Smith
1400 E Church St |
$34.47 | 14 | 14 |
|
Erica Marie Poyntz
1400 E Church St |
$154.73 | 14 | 14 |
|
Jonathan Vanwickle
1325 E Church St Ste 101 |
$45.48 | 14 | 14 |
|
Bhanji D. Kundaria
1505 Shepard Dr Ste 106 |
$32.10 | 14 | 12 |
|
Daniele Sarah Hecht Feldman
116 S Palisade Dr |
$29.52 | 16 | 13 |
|
Laurence E Shields
116 S Palisade Dr Ste 103 |
$23.90 | 21 | 15 |
|
Jenny Oleta Andrews
206 S Stratford Ave Ste A |
$12.01 | 25 | 25 |
|
Richard James Luciano
206 S Stratford Ave |
$19.15 | 26 | 25 |
|
Kevin M Lin-Hurtubise
316 S Stratford Ave Ste C |
$117.90 | 26 | 26 |
|
Ashley Buchanan
235 S Palisade Dr |
$22.25 | 27 | 27 |
|
David Aloysius Ketelaar
1400 E Church St |
$18.10 | 29 | 29 |
|
G. Zacharia Reagle
1400 E Church St |
$68.00 | 37 | 37 |
|
Eric Sincoff
220 S Palisade Dr Ste 104B |
$22.15 | 38 | 37 |
|
Frank Aranda
1102 E Clark Ave Ste 120A |
$18.29 | 39 | 39 |
|
Pacific Central Coast Health Centers
316 S Stratford Ave |
$38.07 | 40 | 39 |
|
Robert John Meyers
235 S Palisade Dr |
$46.36 | 40 | 40 |
|
Angelica Sabtshab Lee
1075 E Betteravia Rd Ste 201 |
$46.24 | 44 | 42 |
|
Margaret L England
1300 E Cypress St Ste C2 |
$0.00 | 45 | 44 |
|
Jeffrey Kaplan, M.D. Pediatric Medicine, Inc
821 E Chapel St Ste 203 |
$65.02 | 50 | 42 |
|
Jennifer Goeddel
1418 E Main St Ste 210 |
$8.03 | 53 | 46 |
|
William Pimienta
4850 S Bradley Rd |
$56.39 | 54 | 53 |
|
Nathan James Walker
116 S Palisade Dr Ste 200 |
$23.45 | 55 | 52 |
|
Ginger Carmichael
1325 E Church St Ste 301 |
$32.57 | 59 | 54 |
|
Brian Joseph Crisp
1400 East Church Street |
$106.19 | 59 | 47 |
|
Surgical Specialists A Medical Corporation
316 S Stratford Ave Ste C |
$30.68 | 64 | 62 |
|
Richard Tamotsu La Fayette
316 S Stratford Ave Ste B |
$33.35 | 65 | 64 |
|
Ben Kundaria Md Inc
1505 Shepard Dr Ste 106 |
$20.95 | 65 | 55 |
|
Guy Zimbardi
1271 S Depot St |
$74.36 | 68 | 67 |
|
Matthew Schreckinger
300 S Stratford Ave |
$92.22 | 74 | 73 |
|
Taimur L Chaudhry
220 S Palisade Dr Ste 203 |
$15.81 | 74 | 71 |
|
Stephanie Patricia Zamora
220 S Palisade Dr Ste 203 |
$109.01 | 77 | 70 |
|
Baochuong Quy Le
1400 E Church St Bldg 8 |
$77.70 | 80 | 71 |
|
Joel Breck
1400 E Church St |
$51.39 | 80 | 80 |
|
Keith Oliver Dillon
1510 E Main St |
$30.54 | 89 | 86 |
|
Daniel Oh
316 S Stratford Ave |
$82.88 | 89 | 83 |
|
Joseph Dean Centeno
316 S Stratford Ave |
$131.55 | 90 | 90 |
|
Sean Powers
201 N College Dr Ste 101 |
$17.01 | 98 | 97 |
|
Thomas Lee Bosshardt
1325 E Church St Ste 202 |
$131.83 | 111 | 53 |
|
Rebecca K Jones
220 S Palisade Dr Ste 203 |
$117.97 | 116 | 104 |
|
Robert Michael Turbow
235 S Palisade Dr |
$5.14 | 123 | 122 |
|
Jonathan Edward Tammela
1325 E Church St Ste 202 |
$90.03 | 123 | 120 |
|
Mona Bazargan
220 S Palisade Dr Ste 203 |
$82.69 | 126 | 110 |
|
Cheryl Joan Reeder
1102 E Clark Ave Ste 120A |
$80.10 | 131 | 131 |
|
Rikin Himat Tank
1510 E Main St Ste 101 |
$54.59 | 135 | 132 |
|
Eric Michael Gavarre
220 S Palisade Dr |
$21.82 | 143 | 141 |
|
Matthew John Katics
1325 E Church St Ste 202 |
$131.43 | 143 | 15 |
|
Geeta Bhatia
500 W Foster Rd |
$4.87 | 145 | 141 |
What to Expect: Office Visit
A typical office visit lasts 15-45 minutes depending on complexity. Your doctor will review your medical history, discuss symptoms, perform a physical exam, and discuss treatment options. You may receive prescriptions, referrals, or orders for diagnostic tests. Follow-up visits are usually shorter than new patient visits.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 99213 | Office visit established mod | $43.18 | 764,306,590 | 487,602 |
| 99214 | Office visit established mod-hi | $59.53 | 502,480,931 | 466,856 |
| 99212 | Office visit established low | $41.69 | 92,299,154 | 127,462 |
| 99203 | Office visit new moderate | $67.55 | 47,756,882 | 127,334 |
| 99211 | Office visit established minor | $39.24 | 44,127,221 | 47,748 |
| 99204 | Office visit new moderate-high | $92.03 | 32,379,031 | 111,937 |
| 99215 | Office visit established high | $93.58 | 29,619,773 | 74,725 |
| 99202 | Office visit new low | $58.57 | 9,372,712 | 35,486 |
| 99205 | Office visit new high | $136.10 | 3,665,382 | 19,737 |
| 99244 | Office consultation mod-high | $118.25 | 3,405,681 | 11,884 |
| 99243 | Office consultation moderate | $78.55 | 2,585,480 | 8,432 |
| 99245 | Office consultation high | $132.29 | 645,300 | 3,046 |
| 99242 | Office consultation low | $58.27 | 483,445 | 1,980 |
| 99241 | Office consultation brief | $66.15 | 295,664 | 712 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Office Visit cost in Santa Maria, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Santa Maria, CA is $37.09 per claim, based on 1,228,678 claims from 261 providers. Typical payments fall between $29.28 and $67.92. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Office Visit in Santa Maria, CA?
There are 261 Medicaid providers offering Office Visit related services in Santa Maria, CA according to public payment data.
What is the price range for Office Visit in Santa Maria, CA?
Medicaid reimbursement for Office Visit in Santa Maria, CA ranges from $0.00 to $563.35 per claim, with an average of $37.09. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
Brooklyn, NY
Avg $71.20
32,336,840 claims · 5588 providers
New York, NY
Avg $81.86
23,551,154 claims · 7530 providers
Los Angeles, CA
Avg $24.20
16,948,065 claims · 5565 providers
Chicago, IL
Avg $30.31
13,989,780 claims · 5801 providers
Bronx, NY
Avg $82.40
13,626,712 claims · 3705 providers
Phoenix, AZ
Avg $47.53
13,269,420 claims · 4233 providers
Houston, TX
Avg $48.27
8,766,644 claims · 4540 providers
Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Santa Maria, CA
Substance Abuse Treatment
Avg $33.75
838,009 claims
Vaccines & Immunizations
Avg $8.33
429,641 claims
Dental Cleaning & Exam
Avg $49.04
294,594 claims
Behavioral & Mental Health Therapy
Avg $207.91
257,630 claims
Eye Exam
Avg $20.86
238,954 claims
Emergency Room Visit
Avg $58.29
188,411 claims
Psychiatric Evaluation
Avg $74.82
184,750 claims
Physical Therapy
Avg $20.58
170,111 claims